Table 3 Description of features chosen from the DE-SynPUF
From: Healthcare insurance fraud detection using data mining
Features | Description | Type |
|---|---|---|
Provider_Institution | Unique Provider Identification Number | Categorical |
NCH_PRMRY_PYR _CLM_PD_AMT | NCH Primary Payer Claim Paid Amount | Numerical |
AT_PHYSN_NPI | Attending Physician - NPI - Number | Categorical |
OP_PHYSN_NPI | Operating Physician - NPI - Number | Categorical |
OT_PHYSN_NPI | Other Physician - NPI - Number | Categorical |
CLM_UTLZTN _DAY_CNT | Claim Utilization Day Count | Numerical |
ADMTNG_IDC9 _DGNS_CD | Claim Admitting Diagnosis Code | Categorical |
CLM_DRG_CD | Claim Diagnosis Group Code | Categorical |
ICD9_PRCDR_CD_1 | Claim Procedure Code 1 | Categorical |